JEFFERSON COMMUNITY HEALTH CARE has sponsored the creation of one or more 401k plans.
Measure | Date | Value |
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2014: JCHCC RETIREMENT PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 99 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 84 |
Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 32 |
Total of all active and inactive participants | 2014-01-01 | 116 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
Total participants | 2014-01-01 | 116 |
Number of participants with account balances | 2014-01-01 | 98 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 7 |
2013: JCHCC RETIREMENT PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-01-01 | 88 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 57 |
Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 35 |
Total of all active and inactive participants | 2013-01-01 | 92 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
Total participants | 2013-01-01 | 92 |
Number of participants with account balances | 2013-01-01 | 72 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 122 |
2012: JCHCC RETIREMENT PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-01-01 | 87 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 61 |
Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 36 |
Total of all active and inactive participants | 2012-01-01 | 97 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
Total participants | 2012-01-01 | 97 |
Number of participants with account balances | 2012-01-01 | 61 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 116 |
2011: JCHCC RETIREMENT PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-01-01 | 65 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 31 |
Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 26 |
Total of all active and inactive participants | 2011-01-01 | 57 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
Total participants | 2011-01-01 | 57 |
Number of participants with account balances | 2011-01-01 | 57 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
2010: JCHCC RETIREMENT PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-01-01 | 68 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 62 |
Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
Total of all active and inactive participants | 2010-01-01 | 62 |
Total participants | 2010-01-01 | 62 |
Number of participants with account balances | 2010-01-01 | 54 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-01-01 | 0 |
2009: JCHCC RETIREMENT PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-01-01 | 48 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 49 |
Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 10 |
Total of all active and inactive participants | 2009-01-01 | 59 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
Total participants | 2009-01-01 | 59 |
Number of participants with account balances | 2009-01-01 | 57 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 4 |
2008: JCHCC RETIREMENT PLAN 2008 401k membership |
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Total participants, beginning-of-year | 2008-01-01 | 41 |
Total number of active participants reported on line 7a of the Form 5500 | 2008-01-01 | 26 |
Number of retired or separated participants receiving benefits | 2008-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2008-01-01 | 21 |
Total of all active and inactive participants | 2008-01-01 | 47 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2008-01-01 | 0 |
Total participants | 2008-01-01 | 47 |
Number of participants with account balances | 2008-01-01 | 47 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2008-01-01 | 6 |
Measure | Date | Value |
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2014 : JCHCC RETIREMENT PLAN 2014 401k financial data |
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Transfers to/from the plan | 2014-12-31 | $60 |
Total income from all sources | 2014-12-31 | $315,399 |
Expenses. Total of all expenses incurred | 2014-12-31 | $245,879 |
Benefits paid (including direct rollovers) | 2014-12-31 | $227,999 |
Total plan assets at end of year | 2014-12-31 | $1,017,275 |
Total plan assets at beginning of year | 2014-12-31 | $947,695 |
Value of fidelity bond covering the plan | 2014-12-31 | $100,000 |
Total contributions received or receivable from participants | 2014-12-31 | $152,300 |
Expenses. Other expenses not covered elsewhere | 2014-12-31 | $1,368 |
Contributions received from other sources (not participants or employers) | 2014-12-31 | $0 |
Other income received | 2014-12-31 | $34,111 |
Net income (gross income less expenses) | 2014-12-31 | $69,520 |
Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $1,017,275 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $947,695 |
Assets. Value of participant loans | 2014-12-31 | $45,502 |
Total contributions received or receivable from employer(s) | 2014-12-31 | $128,988 |
Value of certain deemed distributions of participant loans | 2014-12-31 | $0 |
Value of corrective distributions | 2014-12-31 | $16,512 |
Funding deficiency by the employer to the plan for this plan year | 2014-12-31 | $0 |
Minimum employer required contribution for this plan year | 2014-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2014-12-31 | $0 |
2013 : JCHCC RETIREMENT PLAN 2013 401k financial data |
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Transfers to/from the plan | 2013-12-31 | $0 |
Total income from all sources | 2013-12-31 | $351,202 |
Expenses. Total of all expenses incurred | 2013-12-31 | $144,305 |
Benefits paid (including direct rollovers) | 2013-12-31 | $81,951 |
Total plan assets at end of year | 2013-12-31 | $947,695 |
Total plan assets at beginning of year | 2013-12-31 | $740,798 |
Value of fidelity bond covering the plan | 2013-12-31 | $100,000 |
Total contributions received or receivable from participants | 2013-12-31 | $155,373 |
Expenses. Other expenses not covered elsewhere | 2013-12-31 | $426 |
Contributions received from other sources (not participants or employers) | 2013-12-31 | $0 |
Other income received | 2013-12-31 | $120,716 |
Net income (gross income less expenses) | 2013-12-31 | $206,897 |
Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $947,695 |
Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $740,798 |
Assets. Value of participant loans | 2013-12-31 | $27,055 |
Total contributions received or receivable from employer(s) | 2013-12-31 | $75,113 |
Value of certain deemed distributions of participant loans | 2013-12-31 | $0 |
Value of corrective distributions | 2013-12-31 | $61,928 |
Funding deficiency by the employer to the plan for this plan year | 2013-12-31 | $0 |
Minimum employer required contribution for this plan year | 2013-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2013-12-31 | $0 |
2012 : JCHCC RETIREMENT PLAN 2012 401k financial data |
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Transfers to/from the plan | 2012-12-31 | $531 |
Total income from all sources | 2012-12-31 | $219,640 |
Expenses. Total of all expenses incurred | 2012-12-31 | $33,152 |
Benefits paid (including direct rollovers) | 2012-12-31 | $32,612 |
Total plan assets at end of year | 2012-12-31 | $740,798 |
Total plan assets at beginning of year | 2012-12-31 | $553,779 |
Value of fidelity bond covering the plan | 2012-12-31 | $100,000 |
Total contributions received or receivable from participants | 2012-12-31 | $106,612 |
Expenses. Other expenses not covered elsewhere | 2012-12-31 | $314 |
Contributions received from other sources (not participants or employers) | 2012-12-31 | $0 |
Other income received | 2012-12-31 | $62,382 |
Net income (gross income less expenses) | 2012-12-31 | $186,488 |
Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $740,798 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $553,779 |
Assets. Value of participant loans | 2012-12-31 | $22,480 |
Total contributions received or receivable from employer(s) | 2012-12-31 | $50,646 |
Value of certain deemed distributions of participant loans | 2012-12-31 | $0 |
Value of corrective distributions | 2012-12-31 | $226 |
Funding deficiency by the employer to the plan for this plan year | 2012-12-31 | $0 |
Minimum employer required contribution for this plan year | 2012-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2012-12-31 | $0 |
2011 : JCHCC RETIREMENT PLAN 2011 401k financial data |
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Transfers to/from the plan | 2011-12-31 | $0 |
Total income from all sources | 2011-12-31 | $147,515 |
Expenses. Total of all expenses incurred | 2011-12-31 | $87,068 |
Benefits paid (including direct rollovers) | 2011-12-31 | $86,582 |
Total plan assets at end of year | 2011-12-31 | $553,779 |
Total plan assets at beginning of year | 2011-12-31 | $493,332 |
Total contributions received or receivable from participants | 2011-12-31 | $101,142 |
Expenses. Other expenses not covered elsewhere | 2011-12-31 | $486 |
Contributions received from other sources (not participants or employers) | 2011-12-31 | $0 |
Other income received | 2011-12-31 | $-11,949 |
Net income (gross income less expenses) | 2011-12-31 | $60,447 |
Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $553,779 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $493,332 |
Assets. Value of participant loans | 2011-12-31 | $20,929 |
Total contributions received or receivable from employer(s) | 2011-12-31 | $58,322 |
Value of certain deemed distributions of participant loans | 2011-12-31 | $0 |
Value of corrective distributions | 2011-12-31 | $0 |
Funding deficiency by the employer to the plan for this plan year | 2011-12-31 | $0 |
Minimum employer required contribution for this plan year | 2011-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2011-12-31 | $0 |
2010 : JCHCC RETIREMENT PLAN 2010 401k financial data |
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Transfers to/from the plan | 2010-12-31 | $0 |
Total plan liabilities at end of year | 2010-12-31 | $0 |
Total plan liabilities at beginning of year | 2010-12-31 | $0 |
Total income from all sources | 2010-12-31 | $162,996 |
Expenses. Total of all expenses incurred | 2010-12-31 | $84,397 |
Benefits paid (including direct rollovers) | 2010-12-31 | $68,415 |
Total plan assets at end of year | 2010-12-31 | $493,332 |
Total plan assets at beginning of year | 2010-12-31 | $414,733 |
Assets. Value of tangible personal property | 2010-12-31 | $13,465 |
Total contributions received or receivable from participants | 2010-12-31 | $68,569 |
Expenses. Other expenses not covered elsewhere | 2010-12-31 | $276 |
Contributions received from other sources (not participants or employers) | 2010-12-31 | $0 |
Other income received | 2010-12-31 | $49,483 |
Noncash contributions received | 2010-12-31 | $0 |
Net income (gross income less expenses) | 2010-12-31 | $78,599 |
Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $493,332 |
Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $414,733 |
Assets. Value of participant loans | 2010-12-31 | $13,465 |
Total contributions received or receivable from employer(s) | 2010-12-31 | $44,944 |
Value of certain deemed distributions of participant loans | 2010-12-31 | $0 |
Value of corrective distributions | 2010-12-31 | $15,706 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $0 |
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2010-12-31 | 0 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
Funding deficiency by the employer to the plan for this plan year | 2010-12-31 | $0 |
Minimum employer required contribution for this plan year | 2010-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2010-12-31 | $0 |
2009 : JCHCC RETIREMENT PLAN 2009 401k financial data |
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Funding deficiency by the employer to the plan for this plan year | 2009-12-31 | $0 |
Minimum employer required contribution for this plan year | 2009-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2009-12-31 | $0 |
2008 : JCHCC RETIREMENT PLAN 2008 401k financial data |
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Transfers to/from the plan | 2008-12-31 | $0 |
Total income from all sources | 2008-12-31 | $111,726 |
Expenses. Total of all expenses incurred | 2008-12-31 | $50,211 |
Benefits paid (including direct rollovers) | 2008-12-31 | $7,501 |
Total plan assets at end of year | 2008-12-31 | $228,209 |
Total plan assets at beginning of year | 2008-12-31 | $166,694 |
Total contributions received or receivable from participants | 2008-12-31 | $109,200 |
Expenses. Other expenses not covered elsewhere | 2008-12-31 | $1,784 |
Contributions received from other sources (not participants or employers) | 2008-12-31 | $0 |
Other income received | 2008-12-31 | $-72,502 |
Noncash contributions received | 2008-12-31 | $0 |
Net income (gross income less expenses) | 2008-12-31 | $61,515 |
Net plan assets at end of year (total assets less liabilities) | 2008-12-31 | $228,209 |
Net plan assets at beginning of year (total assets less liabilities) | 2008-12-31 | $166,694 |
Assets. Value of participant loans | 2008-12-31 | $10,967 |
Total contributions received or receivable from employer(s) | 2008-12-31 | $75,028 |
Value of certain deemed distributions of participant loans | 2008-12-31 | $0 |
Value of corrective distributions | 2008-12-31 | $40,926 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2008-12-31 | $0 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2008-12-31 | $0 |
Funding deficiency by the employer to the plan for this plan year | 2008-12-31 | $0 |
Minimum employer required contribution for this plan year | 2008-12-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2008-12-31 | $0 |
2014: JCHCC RETIREMENT PLAN 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Submission has been amended | No |
2014-01-01 | This submission is the final filing | No |
2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-01-01 | Plan is a collectively bargained plan | No |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan funding arrangement – Trust | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2013: JCHCC RETIREMENT PLAN 2013 form 5500 responses |
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2013-01-01 | Type of plan entity | Single employer plan |
2013-01-01 | Submission has been amended | No |
2013-01-01 | This submission is the final filing | No |
2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-01-01 | Plan is a collectively bargained plan | No |
2013-01-01 | Plan funding arrangement – Insurance | Yes |
2013-01-01 | Plan funding arrangement – Trust | Yes |
2013-01-01 | Plan benefit arrangement – Insurance | Yes |
2012: JCHCC RETIREMENT PLAN 2012 form 5500 responses |
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2012-01-01 | Type of plan entity | Single employer plan |
2012-01-01 | Submission has been amended | No |
2012-01-01 | This submission is the final filing | No |
2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-01-01 | Plan is a collectively bargained plan | No |
2012-01-01 | Plan funding arrangement – Insurance | Yes |
2012-01-01 | Plan funding arrangement – Trust | Yes |
2012-01-01 | Plan benefit arrangement – Insurance | Yes |
2011: JCHCC RETIREMENT PLAN 2011 form 5500 responses |
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2011-01-01 | Type of plan entity | Single employer plan |
2011-01-01 | Submission has been amended | No |
2011-01-01 | This submission is the final filing | No |
2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-01-01 | Plan is a collectively bargained plan | No |
2011-01-01 | Plan funding arrangement – Insurance | Yes |
2011-01-01 | Plan funding arrangement – Trust | Yes |
2011-01-01 | Plan benefit arrangement – Insurance | Yes |
2010: JCHCC RETIREMENT PLAN 2010 form 5500 responses |
---|
2010-01-01 | Type of plan entity | Single employer plan |
2010-01-01 | Submission has been amended | No |
2010-01-01 | This submission is the final filing | No |
2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-01-01 | Plan is a collectively bargained plan | No |
2010-01-01 | Plan funding arrangement – Insurance | Yes |
2010-01-01 | Plan funding arrangement – Trust | Yes |
2010-01-01 | Plan benefit arrangement – Insurance | Yes |
2009: JCHCC RETIREMENT PLAN 2009 form 5500 responses |
---|
2009-01-01 | Type of plan entity | Single employer plan |
2009-01-01 | Submission has been amended | No |
2009-01-01 | This submission is the final filing | No |
2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-01-01 | Plan is a collectively bargained plan | No |
2009-01-01 | Plan funding arrangement – Insurance | Yes |
2009-01-01 | Plan funding arrangement – Trust | Yes |
2009-01-01 | Plan benefit arrangement – Insurance | Yes |
2008: JCHCC RETIREMENT PLAN 2008 form 5500 responses |
---|
2008-01-01 | Type of plan entity | Single employer plan |
2008-01-01 | Submission has been amended | No |
2008-01-01 | This submission is the final filing | No |
2008-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2008-01-01 | Plan is a collectively bargained plan | No |
2008-01-01 | Plan funding arrangement – Insurance | Yes |
2008-01-01 | Plan funding arrangement – Trust | Yes |
2008-01-01 | Plan benefit arrangement – Insurance | Yes |
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-803999 |
Policy instance | 1 |
Insurance contract or identification number | GA-803999 | Number of Individuals Covered | 98 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $3,293 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,293 | Insurance broker organization code? | 3 | Insurance broker name | EAGAN INS AGCY INC |
|
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-803999 |
Policy instance | 1 |
Insurance contract or identification number | GA-803999 | Number of Individuals Covered | 72 | Insurance policy start date | 2013-01-01 | Insurance policy end date | 2013-12-31 | Total amount of commissions paid to insurance broker | USD $3,257 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $3,257 | Insurance broker organization code? | 3 | Insurance broker name | EAGAN INS AGENCY INC |
|
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-803999 |
Policy instance | 1 |
Insurance contract or identification number | GA-803999 | Number of Individuals Covered | 61 | Insurance policy start date | 2012-01-01 | Insurance policy end date | 2012-12-31 | Total amount of commissions paid to insurance broker | USD $2,992 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,992 | Insurance broker organization code? | 3 | Insurance broker name | EAGAN INS AGENCY INC |
|
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-803999 |
Policy instance | 1 |
Insurance contract or identification number | GA-803999 | Number of Individuals Covered | 57 | Insurance policy start date | 2011-01-01 | Insurance policy end date | 2011-12-31 | Total amount of commissions paid to insurance broker | USD $2,623 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-803999 |
Policy instance | 1 |
Insurance contract or identification number | GA-803999 | Number of Individuals Covered | 54 | Insurance policy start date | 2010-01-01 | Insurance policy end date | 2010-12-31 | Total amount of commissions paid to insurance broker | USD $2,120 | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-803999 |
Policy instance | 1 |
Insurance contract or identification number | GA-803999 | Number of Individuals Covered | 47 | Insurance policy start date | 2008-01-01 | Insurance policy end date | 2008-12-31 | Total amount of commissions paid to insurance broker | USD $762 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|